3171 papers
This case report describes a multidrug-resistant *Serratia liquefaciens* urinary tract infection in a 66-year-old woman with chronic kidney disease, emphasizing the critical need for accurate species identification and tailored antimicrobial therapy based on susceptibility testing in high-risk patients with complicated urinary tract conditions.
This case report describes a rare instance of an odontogenic orbital abscess in a 58-year-old Thai female, transmitted via the premaxillary space following a tooth extraction, which was successfully treated with urgent surgical drainage and antibiotics to restore vision.
This study demonstrates that the positivity rate of PLA2R immunohistochemical staining in paraffin-embedded kidney tissue significantly declines with prolonged room temperature storage but remains stable when slides are stored at -20°C, highlighting the critical need for optimized preservation protocols to ensure diagnostic reliability in idiopathic membranous nephropathy.
This mixed-methods study across Zimbabwe reveals that the COVID-19 pandemic exacerbated maternal, sexual, and reproductive health service disruptions through a convergence of "dual fear," vaccine misinformation, deteriorating patient-provider relationships, and severe structural barriers, culminating in an "Ubuntu Paradox" where communal solidarity is undermined by a system that individualizes the financial and logistical burdens of care.
In patients with a small aortoannular complex undergoing the Bentall procedure, the subannular-supported supra-annular conduit implantation (SSSC) technique facilitates greater prosthesis upsizing and higher indexed effective orifice area with reduced prosthesis-patient mismatch compared to the supra-annular-supported annular conduit implantation (SSAC) approach, despite distinct complication profiles and similar mortality rates.
This retrospective cohort study of 286 esophageal cancer patients undergoing definitive chemoradiotherapy identifies three distinct longitudinal trajectories of body weight and nutrition support, revealing that an "early sustained deterioration" pattern is significantly associated with increased risks of treatment delays, prolonged radiotherapy duration, severe acute toxicity, and unplanned hospitalizations.
This retrospective study of 15 children at a UK tertiary care center reveals that fireplace-related injuries, primarily caused by structural collapse, frequently result in severe multisystem trauma and neurosurgical complications, underscoring the critical need for mandatory fireplace anchorage and targeted caregiver safety education to prevent these fatal accidents.
This qualitative study identifies diverse reproductive and sexual health challenges facing Iranian adolescents, ranging from individual behaviors to systemic barriers, while highlighting the urgent need for culturally and religiously sensitive policy interventions to address the current neglect in providing essential information and services.
This five-year national survey study reveals that older lesbian, gay, and bisexual adults, particularly bisexual individuals, experience a disproportionate burden of major depressive episodes and suicidal ideation compared to their heterosexual peers, with these mental health indicators worsening significantly during the COVID-19 pandemic.
This randomized clinical trial demonstrates that combined intraoral (660 nm) and extraoral (808 nm) low-level laser therapy significantly reduces postoperative pain and swelling following impacted mandibular third molar extraction, though it showed no significant effect on trismus or dry socket incidence.